Organization
RADIOLOGIC ASSOCIATES OF NORTHWEST ARIZONA PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R KELLEY (MD)
(928) 234-5883
Entity
Organization
Contact information
Practice address
5330 S HIGHWAY 95, FORT MOHAVE, AZ 86426-9225
(928) 788-7228
Mailing address
4825 S HIGHWAY 95, SUITE 2 #502, FORT MOHAVE, AZ 86426-8315
(928) 788-7232
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
03/02/2017
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